GESTATIONAL HYPERTENSION WITH PRES SYNDROME - CASE SERIES

Dr. S.SRINIVASAN; Dr. R.S. JAYAPRATHA; Dr. SARANYA

Volume : IX, Issue : II, February - 2020

GESTATIONAL HYPERTENSION WITH PRES SYNDROME - CASE SERIES

Dr. S. Srinivasan, Dr. R. S. Jayapratha, Dr. Saranya

Abstract :

Posterior reversible encephalopathy syndrome (PRES) was first described in 1996 by Hinchey et al(1). The PRES is a neurological disorder of acute onset characterized by headache, impaired visual acuity, visual field defect, confusion, seizures, disorders of consciousness and focal neurological deficit. PRES was previously known as Reversible posterior cereal edema syndrome, reversible occipital parietal encephalopathy, reversible posterior leuco–encephalopathy syndrome. PRES is an obstetric emergency frequently occurring in pregnant or puerperal women in first 48 hours postpartum period with eclampsia characterized by generalized convulsion in Preeclamptic syndrome of proteinuria and hypertension. The incidence of PRES in women with preeclampsia is approximately 20 percent (2) AIM: To report two cases of gestational hypertension presented with PRES syndrome reported in Ophthalmology department in tertiary care centre MATERIALS AND METHODS: Two women with gestational hypertension manifested with PRES ( Posterior Reversible Encephalopathy Syndrome) when they presented to the emergency of the Department of Obstetrics and Gynecology in a Tertiary Care Hospital. RESULT : In these two patients, Ophthalmic manifestations of PRES Syndrome were studied. The initial presentation, progress of the illness, response to treatment and final outcome after a specific period of follow–up were studied in these patients.